MEDICARE: JENNIFER WILSON CCC-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1992461388
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER WILSON CCC-SLP

Provider Business Mailing Address
First Line	:	14311 KENNEDY RD
Second Line	:
City	:	GREENWOOD
State	:	MO
Zip	:	64034-9476
Country	:	US
Telephone Number	:	816-508-9553
Fax Number	:

Provider Business Practice Location Address
First Line	:	1222 S PATTERSON BLVD
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45402-2684
Country	:	US
Telephone Number	:	937-496-2622
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/10/2021
Last Update Date	:	03/13/2026

Similar Medicare Providers

1760481626 — DR. GLEN DAVID SOLOMON MD
Practice Location Address:

1222 S PATTERSON BLVD , SUITE 230
DAYTON, OH
45402-2684

Practice Phone: 937-223-5350
Practice Fax: 937-224-3112

1285626176 — HOWARD F WUNDERLICH MD
Practice Location Address:

1222 S PATTERSON BLVD , SUITE 120
DAYTON, OH
45402-2684

Practice Phone: 937-208-9090
Practice Fax: 937-208-9075

1306833884 — SHARYN APRIL HATTON CNP
Practice Location Address:

1222 S PATTERSON BLVD , STE 210
DAYTON, OH
45402-2684

Practice Phone: 937-208-9090
Practice Fax: 937-208-9075

1619967650 — LUAN CONG TRAN MD MPH
Practice Location Address:

1222 S PATTERSON BLVD , STE 120
DAYTON, OH
45402-2684

Practice Phone: 937-228-1731
Practice Fax: 937-228-7827

1780674952 — DR. ROBERTO J COLON M.D.
Practice Location Address:

1222 S PATTERSON BLVD , STE 230
DAYTON, OH
45402-2684

Practice Phone: 937-223-5350
Practice Fax:

1114900305 — DR. DEAN A. BRICKER MD
Practice Location Address:

1222 S PATTERSON BLVD , SUITE 230
DAYTON, OH
45402-2684

Practice Phone: 937-223-5350
Practice Fax: 937-224-3112

Directions to “ JENNIFER WILSON CCC-SLP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.